Blog > Practice Management> The Power of Built-In Mental Health Forms: How ICANotes, a Behavioral Health EHR, Saves Providers Time

The Power of Built-In Mental Health Forms: How ICANotes, a Behavioral Health EHR, Saves Providers Time

This practice management guide reveals how ICANotes, a behavioral health EHR, streamlines documentation with over 150 built-in clinical forms. Designed specifically for mental health professionals, ICANotes reduces administrative burden, ensures compliance, and enhances care quality. Clinicians can access pre-loaded assessments, automate scoring, and seamlessly integrate data into treatment notes, helping them spend less time on paperwork and more time with patients.

october (3)

Last Updated: June 26, 2025

mental health forms
fav (10)

What You'll Learn

  • Common clinical forms required in behavioral health private practice

  • How built-in mental health forms reduce burnout and improve workflow

  • The differences between ICANotes and popular EHR systems like TherapyNotes and SimplePractice

  • Benefits of automated scoring, seamless note integration, and form customization

  • How standardized documentation supports compliance, audits, and clinical excellence

The Hidden Time Sink in Behavioral Health: Forms Management

Documentation is an essential part of behavioral health care, but for many clinicians, it’s also one of the most time-consuming. While the focus is rightly on delivering high-quality care, administrative tasks like building custom intake forms, assessments, and treatment plans often eat into valuable clinical time. The result? Burnout, inconsistent documentation, and lost revenue.

Enter ICANotes: an EHR platform purpose-built for behavioral health, offering over 150 pre-configured, clinically relevant mental health forms and assessments. These tools don’t just save time — they elevate care quality, streamline workflows, and eliminate the need to start from scratch.

In this post, we’ll explore the challenges clinicians face with form creation, how ICANotes simplifies the process, and how it compares to other leading EHRs like SimplePractice and TherapyNotes.

The Challenge: Too Many Mental Health Forms, Too Little Time

Behavioral health providers depend on structured forms to collect critical information for diagnosis, care planning, and reimbursement. Tools like the PHQ-9, GAD-7, biopsychosocial assessments, and risk screening forms are essential. However, many EHR systems require clinicians to create or manually customize these forms from scratch. This adds considerable overhead, especially for solo practitioners or small group practices. Even in larger settings, the process can be resource-intensive and complex.

The documentation burden is not just about time; it also affects the quality of care. A missed or incomplete form can mean gaps in treatment planning, missed diagnoses, or improper billing. Clinicians may struggle to recall specific patient details when documentation is delayed due to inefficient workflows. In practices where multiple providers share patient care, inconsistencies in forms and notes can lead to communication breakdowns.

Even when templates are offered, they are often limited in scope, difficult to modify, and disconnected from the rest of the EHR workflow. Forms that don't auto-score or integrate with progress notes can lead to repetitive data entry, increasing the chances of errors and creating extra work during audits or reviews.

As a result, clinicians may spend hours outside of session time completing documentation, contributing to burnout and job dissatisfaction. Providers want to focus on clients, not documentation tools and paperwork.

Mental Health Forms Typically Required in a Private Practice

1. Intake Forms

  • Client Intake Form: Collects basic demographic information, such as name, address, phone number, emergency contact, and insurance details.

  • Consent for Treatment: Documents the client's agreement to participate in treatment, explains the nature of treatment, and outlines any risks or benefits associated with treatment.

  • HIPAA Privacy Notice: Informs clients of their rights under the Health Insurance Portability and Accountability Act (HIPAA) regarding confidentiality and privacy.

  • Release of Information Form: Authorizes the clinician to exchange information with other healthcare providers, family members, or institutions if needed.

  • Financial Responsibility Form: Clarifies the client's responsibility for payment, including co-pays, deductibles, or out-of-pocket expenses.

2. Mental Health Assessment Forms

  • Mental Health Screening / Assessment Forms: Includes tools like the PHQ-9 (for depression), GAD-7 (for anxiety), and CAGE Questionnaire (for substance use) to assess the client’s mental health symptoms and history.
  • Risk Assessment Forms: Documents the client's risk of harm to self or others (e.g., suicidal ideation, homicidal ideation, self-harm behaviors).
  • Biopsychosocial Assessment: A comprehensive evaluation of the client’s psychological, biological, and social factors, used to inform treatment planning.

3. Treatment Forms

  • Treatment Plan: A document that outlines the goals of treatment, the therapeutic interventions to be used, and a timeline for achieving these goals.
  • Progress Notes: Used to track the client's progress in treatment.
Mental Health Forms

4. Consent Forms for Specific Therapies

  • Informed Consent for Telehealth: If offering virtual sessions, clients need to agree to the terms of telehealth.
  • Consent for Release of Therapy Records: To share or send clinical notes to other parties, clients must give explicit consent.
  • Parent/Guardian Consent Forms (for minors): If treating a minor, this form is required to gain parental or guardian consent for therapy.

5. Billing and Insurance Forms

  • Insurance Verification Form: Helps confirm the client's coverage and the specific services they are entitled to receive.
  • Authorization to Bill Insurance Form: gives a mental health professional permission to submit claims to the client’s insurance company on their behalf.
  • Superbill or Encounter Form: A detailed statement that includes diagnostic codes and service codes, typically needed for insurance reimbursement.

6. Termination Forms

  • Discharge Summary: Summarizes the therapy process, progress made, and recommendations for future care.
  • Release of Information at Termination: Used to close out any ongoing releases of information, ensuring that client data is managed according to ethical and legal standards.
  • Relapse Prevention Plan: Common in substance use treatment, this form outlines strategies to prevent relapse following treatment.

These forms play a vital role in guiding treatment, maintaining accurate and comprehensive records, and ensuring legal and ethical compliance in mental health practices. Using these clinical forms helps providers track progress, manage risks, and maintain effective communication with clients and other clinicians.

The ICANotes Solution: Built-In, Clinically Smart Mental Health Forms

ICANotes alleviates the documentation and forms management burden by providing an expansive suite of over 150 built-in mental health forms. These aren't just templates—they're fully integrated, clinically validated tools that cover everything from intake to discharge.

Here’s how ICANotes addresses form-related challenges:

  • 150+ Built-In Forms: Access a wide variety of standardized tools, including the PHQ-9, GAD-7, CAGE, C-SSRS, and more, without building them from scratch.
  • Seamless Note Integration: Intake and assessment data automatically populates into relevant sections of initial assessments and progress notes, eliminating redundant entry.
  • Automated Scoring and Alerts: Rating scale forms like the GAD-7 are scored in real-time with alerts informing the clinician and triggers to populate the score in the clinical note.
  • Easy Customization: ICANotes staff can modify existing forms or build new ones on request, usually at no charge. Clinicians or their administrative staff can easily configure simple forms without structured fields – like consent forms – in the system for use in the office or via the patient portal.
  • Consistency Across Teams: Standardized forms support uniform documentation, ideal for growing or accredited practices.
  • Support for Clinical Best Practices: The ICANotes mobile-friendly electronic intake module includes structured questions on trauma, substance use, and social determinants of health, ensuring key areas of the biopsychosocial assessment are never overlooked.

By making high-quality documentation fast and intuitive, ICANotes helps clinicians stay focused on care rather than paperwork. Beyond technical functionality, ICANotes’ built-in mental health forms support clinical excellence. For example, during intake, preconfigured questions screen for trauma history, substance use, and social determinants of health. These structured questions ensure that key topics aren’t overlooked, even in high-volume practices.

As treatment progresses, clinicians can use progress notes to capture clinical changes, patient-reported outcomes, and treatment adherence. Treatment plans can be easily pulled into the progress note, making it easy to document progress against goals. Furthermore, ICANotes makes it easy for practices to maintain consistency across providers. Large organizations benefit from having standardized forms and language, reducing the variability in clinical documentation. This is particularly important for practices undergoing accreditation, expanding service lines, or preparing for insurance audits.

Let’s compare how ICANotes stacks up against two popular EHRs often used by behavioral health practices: SimplePractice and TherapyNotes.

Built-In Assessments 150+ Limited Limited
Auto-Scoring (e.g., PHQ-9) Yes Partial Partial
Integration with Notes Full Some Manual
Customizable Forms Yes Yes Yes
Behavioral Health Focus Exclusive Yes General

SimplePractice allows form creation but offers limited pre-built tools and requires more manual input. TherapyNotes includes some built-in forms, but integration across notes and treatment plans is more limited. Both systems focus on general usability over clinical depth.

ICANotes, on the other hand, was built to reduce time spent on documentation and increase time spent on care. With forms and note templates that think like a clinician, not a tech company, it offers true clinical workflow support.

Many EHRs try to serve multiple specialties, which can lead to generic form libraries that fall short in behavioral health. ICANotes exclusively focuses on the needs of mental health providers — psychiatrists, nurse practitioners, therapists, social workers, and psychologists — ensuring that every tool, form, and feature is directly aligned with how mental health documentation should be done.

ICANotes users often find they can eliminate external form libraries and stop relying on third-party tools for documentation. Everything they need is built in, from initial intake forms to outcome tracking and discharge summaries. This consolidated approach simplifies compliance, boosts productivity, and supports better clinical decisions.

Save Time, Improve Care, and Focus on What Matters

With ICANotes, documentation becomes an asset rather than a burden. Clinicians can take advantage of pre-built forms that are clinically aligned and designed to work within their workflows, not against them. From intake assessments to progress monitoring, ICANotes ensures that every form serves a purpose and contributes meaningfully to client care.

Here’s what you can expect with ICANotes:

  • Faster onboarding and training for new staff due to standardized tools
  • Reduced documentation backlog, improving billing cycles and compliance
  • Fewer insurance claim denials due to clean, compliant notes
  • Improved clinician satisfaction with less after-hours work

Whether you’re launching a solo private practice or managing a team of providers, ICANotes provides the tools you need to standardize, streamline, and scale your documentation process.

Many practices that switch to ICANotes report faster onboarding of new staff, reduced documentation backlog, and fewer errors in insurance submissions. Built-in forms play a critical role in these improvements. They ensure clinicians are asking the right questions, documenting care correctly, and capturing measurable outcomes without needing to design every form from scratch.

If you’re looking to increase efficiency, improve compliance, and enhance patient care, ICANotes is the behavioral health EHR that supports your growth every step of the way.

Book a Demo

Integrative mental health care requires clear, comprehensive documentation to ensure treatment plans reflect the full range of interventions — conventional and complementary. ICANotes makes it easy for clinicians to capture and track adjunctive strategies like nutraceutical use, lifestyle recommendations, and patient-reported outcomes. With customizable templates for progress notes, treatment plans, and intake assessments, you can document supplement regimens, monitor symptom changes, and coordinate care with other providers, all within a behavioral health-specific EHR.

ICANotes also supports evidence-based practice by enabling structured documentation of risk factors (e.g., nutrient deficiencies, sleep disruptions, or stress load) and tracking the impact of interventions like light therapy, mindfulness, or exercise over time. Whether you're incorporating omega-3s, recommending ashwagandha, or integrating mindfulness-based strategies, ICANotes gives you the clinical tools to document holistically, stay organized, and support better outcomes, without adding to your administrative burden.

Find out more by scheduling a demo or registering for a free 30-day trial (no credit card required).

Schedule a Live Demo

Experience the most intuitive, clinically robust EHR designed for behavioral health professionals—built to streamline documentation, improve compliance, and enhance patient care.

check

Simplify clinical charting

check

Stay organized with appointment scheduling

check

Reduce no-shows with automated reminders

check

Improve client engagement with a secure patient portal

check

Provide flexible care with HIPAA-compliant telehealth

certified icons

Dr. October Boyles

DNP, MSN, BSN, RN

Dr. October Boyles is a behavioral health expert and clinical leader with extensive expertise in nursing, compliance, and healthcare operations. With a Doctor of Nursing Practice (DNP) from Aspen University and advanced degrees in nursing, she specializes in evidence-based practices, EHR optimization, and improving outcomes in behavioral health settings. Dr. Boyles is passionate about empowering clinicians with the tools and strategies needed to deliver high-quality, patient-centered care.